Alexithymic and Autistic Traits Differentially Predict Personality Disorder Dimensions

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Bibliographic Details
Title: Alexithymic and Autistic Traits Differentially Predict Personality Disorder Dimensions
Language: English
Authors: Laura Albantakis (ORCID 0000-0002-5342-0768), Leonie Weindel, Marie-Luise Brandi, Imme C. Zillekens, Lara Henco, Hanna Thaler, Lena Schliephake, Leonhard Schilbach
Source: Autism: The International Journal of Research and Practice. 2025 29(10):2463-2476.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 14
Publication Date: 2025
Document Type: Journal Articles
Reports - Research
Descriptors: Autism Spectrum Disorders, Personality Problems, Emotional Response, Symptoms (Individual Disorders), Predictor Variables, Diagnostic Tests, Foreign Countries, Adults
Geographic Terms: Germany
Assessment and Survey Identifiers: Autism Diagnostic Observation Schedule, Autism Spectrum Quotient, Beck Depression Inventory, Wechsler Adult Intelligence Scale
DOI: 10.1177/13623613251338650
ISSN: 1362-3613
1461-7005
Abstract: Alexithymia and autism are variably characterized by social cognitive and perceptual deficits, which can lead to profound social interaction difficulties. Such difficulties are also the hallmark of personality disorders (PDs), but the potential link between alexithymia, autism, and PDs remains unclear. Here, we investigated whether autistic and/or alexithymic traits are associated with specific PD dimensions as measured by the Assessment of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) Personality Disorders Questionnaire (ADP-IV). We included individuals with a formal autism diagnosis (AP, n = 89), individuals with a psychiatric diagnosis other than autism (NAP, n = 51), and neurotypical participants (NPs, n = 84). We applied linear regression analyses with autistic and alexithymic traits as predictors and PD dimensions as outcome variables, while controlling for age, depressive, and socially anxious symptoms. While autistic traits predicted the obsessive-compulsive PD dimension, alexithymic traits predicted the borderline PD dimension. Autistic and alexithymic traits were both significant predictors of the schizoid PD dimension. Taken together, our results point toward overlaps between autistic traits and specific PD dimensions that are well recognized as differential diagnoses of autism, while alexithymia was differentially linked to the borderline PD dimension.
Abstractor: As Provided
Entry Date: 2025
Accession Number: EJ1482932
Database: ERIC
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Description
Abstract:Alexithymia and autism are variably characterized by social cognitive and perceptual deficits, which can lead to profound social interaction difficulties. Such difficulties are also the hallmark of personality disorders (PDs), but the potential link between alexithymia, autism, and PDs remains unclear. Here, we investigated whether autistic and/or alexithymic traits are associated with specific PD dimensions as measured by the Assessment of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) Personality Disorders Questionnaire (ADP-IV). We included individuals with a formal autism diagnosis (AP, n = 89), individuals with a psychiatric diagnosis other than autism (NAP, n = 51), and neurotypical participants (NPs, n = 84). We applied linear regression analyses with autistic and alexithymic traits as predictors and PD dimensions as outcome variables, while controlling for age, depressive, and socially anxious symptoms. While autistic traits predicted the obsessive-compulsive PD dimension, alexithymic traits predicted the borderline PD dimension. Autistic and alexithymic traits were both significant predictors of the schizoid PD dimension. Taken together, our results point toward overlaps between autistic traits and specific PD dimensions that are well recognized as differential diagnoses of autism, while alexithymia was differentially linked to the borderline PD dimension.
ISSN:1362-3613
1461-7005
DOI:10.1177/13623613251338650